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Insulin

Aliases: Humalog · Novolog · Lantus · Humulin i dr.

Last verified: 2026-09-23

Approved drugStrong evidencePeptidesMedium interest

The short version

A 51-amino-acid peptide hormone — the cornerstone of type 1 and severe type 2 diabetes treatment. The first recombinant peptide drug (1982). Abused in bodybuilding (very dangerous).

Identity & type

Molecular type
analog
Origin
A 51-amino-acid peptide hormone — the cornerstone of type 1 and severe type 2 diabetes treatment.

Mechanism of action

Insulin receptor (tyrosine kinase) → GLUT4 translocation, glucose uptake, anabolism (fat/glycogen/protein).

Dosing & routes

Official / clinical context

Approved drug — indications, dosing and warnings are defined by the official label. Individualized; basal/bolus regimens per glycemia.

Regulator-approved labeling and published study designs — never a recommendation.

Community-reported practice

Individualized; basal/bolus regimens per glycemia. In diabetics: life-saving glucose control. The bodybuilding community uses it off-label for hypertrophy — with serious hypoglycemia risk; one of the most dangerous practices.

Unverified self-reports. Not medical advice. Not endorsement.

Expected effects (community)

In diabetics: life-saving glucose control. The bodybuilding community uses it off-label for hypertrophy — with serious hypoglycemia risk; one of the most dangerous practices.

Protocol — official vs community

Official / label

A class, not a single drug: prandial (rapid: lispro/aspart/glulisine; ultra-rapid: faster aspart, URLi), basal (glargine/detemir/degludec; weekly icodec) and mixed formulations. Type 1 diabetes: basal-bolus or pump; type 2: added progressively per glycemia. All dosing fully individualized in units.

  1. 01Titrate continuously against self-monitored (or CGM) glucose: basal to fasting targets, prandial to post-meal targets
  2. 02Structured self-titration algorithms (e.g. +2 units every 3 days to fasting target) are label-endorsed for some basal insulins

Duration: Lifelong in type 1 diabetes; in type 2, continued as long as indicated.

Hypoglycemia is the dose-limiting toxicity and can be fatal; lipohypertrophy from site reuse blunts absorption. A century of use and still the standard every other antidiabetic is compared against.

Community (anecdotal)

Non-diabetic bodybuilding misuse: rapid insulin (e.g. 5–15 IU post-workout) stacked with high carbohydrate intake to force nutrient uptake into muscle.

Cycle:
Single injections around training, sometimes daily in phases.
Break:
None — the practice is episodic by risk, not design.

This is the most dangerous compound in the biohacker pharmacopeia: hypoglycemia can be fatal within an hour of a misjudged dose, and misjudgment is easy. There is no safe unsupervised insulin protocol; the compounds.json entry labels the practice plainly.

Human evidence

A century of clinical use; new ultra-rapid and weekly (icodec) formulations.

Preclinical evidence

The preclinical phase was completed and submitted to regulators as part of registration; pharmacology and toxicology details are part of the official label.

Known risks

  • Hypoglycemia (potentially fatal), weight gain, lipohypertrophy.characterized

Teal: characterized in clinical/labeling contexts. Amber: theoretical or reported outside controlled settings.

Unknowns & evidence gaps

  • Real-world data outside controlled trials

Frequently asked questions

References